CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: CHI St Alexius Health

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,264
about 1.3× the $950 Medicare rate · typically $961–$1,326
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,264 Cash price $199 Hospital's list price $391

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $258 - $912 27%
Blue Cross Blue Shieldmajor $930 98%
Humanamajor $912 96%
HealthPartners $293 31%
Medica $289 - $912 30%
Sanford Health Plan $1,577 166%
+ 1 smaller / regional plan $957
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 900 E Broadway, Bismarck, ND 58501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals